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加味葶苈大枣泻肺汤联合2HRZE/4HR方案对肺结核患者疗效的影响

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目的:探讨加味葶苈大枣泻肺汤联合 2HRZE/4HR方案对肺结核患者疗效的影响。方法:选取 2021 年 1 月—2022 年 9 月清流县总医院收治的 94 例肺结核患者,随机分为对照组和观察组,各 47 例。对照组予以 2HRZE/4HR方案,观察组予以加味葶苈大枣泻肺汤联合 2HRZE/4HR方案治疗。比较两组临床疗效、免疫功能、生活质量、体力状况、炎症因子水平及不良反应发生情况。结果:观察组临床总有效率高于对照组,差异有统计学意义(P<0。05)。治疗前,两组免疫功能指标、炎症因子水平、生活质量评分比较,差异无统计学意义(P>0。05);治疗后,两组CD3+、CD4+、CD4+/CD8+水平高于治疗前,CD8+、白细胞介素-2(IL-2)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平低于治疗前,且观察组CD3+、CD4+、CD4+/CD8+水平高于对照组,CD8+、IL-2、IL-6、TNF-α水平低于对照组,差异有统计学意义(P<0。05)。治疗后,两组简明健康状况调查问卷(SF-36)各项评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组体力状况稳定率高于对照组,差异有统计学意义(P<0。05)。两组不良反应总发生率比较,差异无统计学意义(P>0。05)。结论:加味葶苈大枣泻肺汤联合 2HRZE/4HR方案可提高肺结核患者临床疗效,改善患者免疫功能,降低炎症反应,稳定患者体力状况,提高患者生活质量,安全有效。
Effect on the Curative Effect of Modified Tingli Dazao Xiefei Decoction Combined with 2HRZE/4HR Regimen on Pulmonary Tuberculosis Patients
Objective:To explore the effect of modified Tingli Dazao Xiefei Decoction combined with 2HRZE/4HR regimen on pulmonary tuberculosis patients.Method:A total of 94 pulmonary tuberculosis patients admitted to Qingliu County General Hospital from January 2021 to September 2022 were randomly divided into control group and observation group,with 47 cases in each group.The control group was treated with 2HRZE/4HR regimen,and the observation group was treated with modified Tingli Dazao Xiefei Decoction combined with 2HRZE/4HR regimen.The clinical efficacy,immune function,quality of life,physical condition,levels of inflammatory factors and occurrence of adverse reactions were compared between the two groups.Result:The total clinical effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in immune function index,inflammatory factor level and quality of life score between the two groups(P>0.05).After treatment,the levels of CD3+,CD4+ and CD4+/CD8+ in both groups were higher than those before treatment,and the levels of CD8+,interleukin-2(IL-2),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)were lower than those before treatment,and the levels of CD3+,CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group,while the levels of CD8+,IL-2,IL-6 and TNF-α were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of the MOS item short from health survey(SF-36)in both groups were higher than those before treatment,and which in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The stability rate of physical status in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Modified Tingli Dazao Xiefei Decoction combined with 2HRZE/4HR regimen can improve the clinical efficacy,immune function,reduce inflammatory response,stabilize the physical condition of patients,improve the quality of life of patients,and is safe and effective.

Pulmonary tuberculosis2HRZE/4HR regimenModified Tingli Dazao Xiefei DecoctionPhysical condition

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清流县总医院 福建 清流 365300

肺结核 2HRZE/4HR方案 加味葶苈大枣泻肺汤 体力状况

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(10)
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